RESUMO
ABSTRACT The aim of this study was to update a systematic review on the use of active transportation to school in Brazilian children and adolescents. All studies were extracted from the LILACS; BIREME; SCIELO and MEDLINE. The search was carried out on manuscripts published in the period 2018-2019. The descriptors were used in Portuguese, English and Spanish. In overall, 8 manuscripts were included in this systematic review, with 1 presenting data from three periods (2009, 2012 and 2015). The study data were obtained between 2009 and 2015 and the age group found between 7 to 19 years old. Of the selected articles, 2 presented national data, 1 from the north, 2 from the northeast, 1 from the southeast and 2 from the south of Brazil. The use of active transportation was superior to passive transportation on 6 occasions and its use was common in boys than in girls (4 of 6 articles). The use of active transportation is still more common than passive transportation in most Brazilian regions, although some cities have the opposite. The results suggest that the prevalence of active transportation is higher in boys than girls. Public policies must be created to favor the use of active transportation among Brazilian youth.
RESUMO O objetivo deste estudo foi atualizar uma revisão sistemática sobre o uso de transporte ativo para a escola em crianças e adolescentes brasileiros. Todos os estudos foram extraídos da LILACS; BIREME; SCIELO e MEDLINE. A busca foi realizada em manuscritos publicados no período de 2018-2019. Os descritores foram utilizados em português, inglês e espanhol. No geral, 8 manuscritos foram incluídos nesta revisão sistemática, com 1 apresentando dados de três períodos (2009, 2012 e 2015). Os dados do estudo foram obtidos no período de 2009 a 2015 e a faixa etária encontrada entre 7 a 19 anos. Dos artigos selecionados, 2 apresentaram dados nacionais, 1 do Norte, 2 do Nordeste, 1 do Sudeste e 2 do Sul do Brasil. O uso de transporte ativo foi superior ao transporte passivo em 6 ocasiões e seu uso foi comum em meninos do que em meninas (4 de 6 artigos). O uso de transporte ativo ainda é mais comum do que o passivo na maioria das regiões brasileiras, embora algumas cidades tenham o oposto. Os resultados sugerem que a prevalência de transporte ativo é maior em meninos do que em meninas. Políticas públicas devem ser criadas para favorecer o uso do transporte ativo entre os jovens brasileiros.
RESUMO
Our aim was to analyze the association between previously diagnosed lifetime depression and changes in physical activity (PA), TV-viewing, consumption of fruits and vegetables as well as frequency of ultra-processed food (UPF) consumption. Data of 41,923 Brazilian adults (6,881 with depression and 35,042 without depression) were used. Participants reported PA (≥ 150 min/week), TV-viewing (≥ 4 h/day), frequency of eating fruits or vegetables (≤ 4 days/week) and UPF (≥ 5 days/week). For incidence indicators, we only considered participants without the risk behavior before the quarantine. People without and with depression presented, respectively, incidence of physical inactivity [70.1% (95%CI: 67.4-72.8) vs 76.3 (70.3-81.5)], high TV-viewing [31.2 (29.6-32.8) vs 33.9 (30.5-37.4)], low frequency of fruit or vegetable consumption [28.3 (25.8-31.0) vs 31.5 (26.1-37.5)] and elevated frequency of UPF consumption [9.7 (8.9-10.7) vs 15.2 (13.0-17.7)]. Participants with depression were more likely to present elevated frequency of UPF consumption incidence [OR:1.49 (95%CI:1.21-1.83)]. Thus, participants with previous diagnosis of depression were at risk for incidence of unhealthy diet behaviors.
Assuntos
Infecções por Coronavirus/epidemiologia , Depressão/epidemiologia , Comportamentos Relacionados com a Saúde , Estilo de Vida , Pneumonia Viral/epidemiologia , Quarentena , Adolescente , Adulto , Betacoronavirus , Brasil/epidemiologia , COVID-19 , Dieta , Exercício Físico , Fast Foods/estatística & dados numéricos , Feminino , Frutas , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , SARS-CoV-2 , Comportamento Sedentário , Televisão , Verduras , Adulto JovemRESUMO
PURPOSE: The aim of this study was to determine the association between active transportation and obesity indicators in adults from eight Latin American countries. METHODS: Data from the ELANS study, an observational multi-country study (n: 8336; 18-65 years), were used. Active transportation (walking and cycling) and leisure time physical activity was assessed using the International Physical Activity Questionnaire (long version). The obesity indicators considered were: body mass index, and waist and neck circumference. RESULTS: In the total sample, the average time dedicated to active transportation was 24.3 min/day, with the highest amount of active transportation being Costa Rica (33.5 min/day), and the lowest being Venezuela (15.7 min/day). The countries with the highest proportion of active transportation were Ecuador (71.9%), and the lowest was Venezuela (40.5%). Results from linear regression analyses suggest that active transportation was significantly and independently associated with a lower body mass index (ß: -0.033; 95% CI: -0.064; -0.002), but not with waist circumference (ß: -0.037; 95% CI: -1.126; 0.390 and neck circumference (ß: -0.007; 95% CI: -0.269; 0.130). CONCLUSIONS: Active transportation is significantly associated with a lower body mass index. Governments should incentivize this type of transportation as it could help to reduce the obesity pandemic in Latin America.
Assuntos
Obesidade , Meios de Transporte , Adulto , Índice de Massa Corporal , Estudos Transversais , Equador , Feminino , Humanos , América Latina/epidemiologia , Masculino , Obesidade/epidemiologia , Circunferência da CinturaRESUMO
Abstract Our aim was to analyze the association between previously diagnosed lifetime depression and changes in physical activity (PA), TV-viewing, consumption of fruits and vegetables as well as frequency of ultra-processed food (UPF) consumption. Data of 41,923 Brazilian adults (6,881 with depression and 35,042 without depression) were used. Participants reported PA (≥ 150 min/week), TV-viewing (≥ 4 h/day), frequency of eating fruits or vegetables (≤ 4 days/week) and UPF (≥ 5 days/week). For incidence indicators, we only considered participants without the risk behavior before the quarantine. People without and with depression presented, respectively, incidence of physical inactivity [70.1% (95%CI: 67.4-72.8) vs 76.3 (70.3-81.5)], high TV-viewing [31.2 (29.6-32.8) vs 33.9 (30.5-37.4)], low frequency of fruit or vegetable consumption [28.3 (25.8-31.0) vs 31.5 (26.1-37.5)] and elevated frequency of UPF consumption [9.7 (8.9-10.7) vs 15.2 (13.0-17.7)]. Participants with depression were more likely to present elevated frequency of UPF consumption incidence [OR:1.49 (95%CI:1.21-1.83)]. Thus, participants with previous diagnosis of depression were at risk for incidence of unhealthy diet behaviors.
Resumo Nosso objetivo foi analisar a associação entre depressão previamente diagnosticada e alterações na atividade física (AF), tempo assistindo TV, consumo de frutas e vegetais, bem como na frequência do consumo de alimentos ultraprocessados (AUP). Foram utilizados dados de 41.923 adultos brasileiros (6.881 com depressão e 35.042 sem depressão) de uma pesquisa de comportamentos em âmbito nacional. Os participantes relataram a prática de AF (≥ 150 min / semana), tempo de TV (≥ 4 h/dia), frequência de consumo de frutas ou vegetais (≤ 4 dias/semana) e AUP (≥ 5 dias/semana). Para indicadores de incidência, consideramos apenas participantes sem o comportamento de risco antes da quarentena. Pessoas sem e com depressão apresentaram, respectivamente, incidência de inatividade física [70,1% (IC95%: 67,4-72,8) vs 76,3 (70,3-81,5)], elevado tempo assistindo TV [31,2 (29,6-32,8) vs 33,9 (30,5- 37,4)], baixa frequência de consumo de frutas ou vegetais [28,3 (25,8-31,0) vs 31.5 (26.1-37.5)] e frequência elevada de AUP [9,7 (8,9-10,7) vs 15,2 (13,0-17,7)]. Pessoas com diagnóstico prévio de depressão apresentaram maior probabilidade de incidência de elevado consumo de AUP [OR:1,49 (IC95%:1,21-1,83)]. Portanto, participantes com diagnóstico prévio de depressão apresentam maior risco de incidência de comportamentos alimentares não saudáveis.
